Therapists for Teens and Adolescents in Pacific County, WA
Licensed in Oregon and Washington, I have 12 plus years of experience helping adults, couples, families, teens, and children.
Welcome to Fresh Waves of Change—a warm, supportive space where transformation unfolds gently, one step at a time. Serving individuals and families across Washington and Oregon, we’re here to walk beside you through whatever life brings. Whether you’re navigating depression, anxiety, trauma, neurodivergence, or parent-child relationship, we offer understanding, compassion, and guidance tailored to your needs. At Fresh Waves of Change, we believe in nurturing growth, healing, resilience, and connection, helping you and your loved ones to build a healthier mind, body, and spirit together, supporting you every step of the way.
Licensed in Oregon and Washington, I have 12 plus years of experience helping adults, couples, families, teens, and children.
Welcome to Fresh Waves of Change—a warm, supportive space where transformation unfolds gently, one step at a time. Serving individuals and families across Washington and Oregon, we’re here to walk beside you through whatever life brings. Whether you’re navigating depression, anxiety, trauma, neurodivergence, or parent-child relationship, we offer understanding, compassion, and guidance tailored to your needs. At Fresh Waves of Change, we believe in nurturing growth, healing, resilience, and connection, helping you and your loved ones to build a healthier mind, body, and spirit together, supporting you every step of the way.
Are you struggling with unexpected life transitions? Is your depression deepening, or your anxiety or habits preventing you from moving forward in life? Is your zest for life depleted, and impacting your relationships, work, or community connections? Do you long for ambition, purpose, clarity or peace that you're stumbling to create for yourself? Are you ready to explore patterns and habits to identify ways you can shift to create a greater sense of awareness, stability and authenticity? Let's look at how we can do this together.
Are you struggling with unexpected life transitions? Is your depression deepening, or your anxiety or habits preventing you from moving forward in life? Is your zest for life depleted, and impacting your relationships, work, or community connections? Do you long for ambition, purpose, clarity or peace that you're stumbling to create for yourself? Are you ready to explore patterns and habits to identify ways you can shift to create a greater sense of awareness, stability and authenticity? Let's look at how we can do this together.
At Cedar Coast Therapy, I offer an integrative, client-centered approach to care using evidence-based treatments including cognitive behavioral therapy, dialectical behavior therapy, positive psychology, and mindfulness practices. I specialize in the care of children, teens, and young adults and believe that early assessment and intervention can help protect children and their families from a lifetime of struggling with mental illness.
At Cedar Coast Therapy, I offer an integrative, client-centered approach to care using evidence-based treatments including cognitive behavioral therapy, dialectical behavior therapy, positive psychology, and mindfulness practices. I specialize in the care of children, teens, and young adults and believe that early assessment and intervention can help protect children and their families from a lifetime of struggling with mental illness.
I have many years of experience working with older teens, adults and older adults, along with veterans.
Sometimes life just gets confusing, feels hopeless and becomes hard to find your way. I can offer the experience of thousands of hours from over 27 year working with people who were in similar situations and found renewed hope and a better way. I work with you where you are and together we can make the journey to where you want to be.
I offer telehealth counseling with individuals and couples in Washington and Oregon. I offer counseling from a Christian perspective and respect the perspective you offer.
I have many years of experience working with older teens, adults and older adults, along with veterans.
Sometimes life just gets confusing, feels hopeless and becomes hard to find your way. I can offer the experience of thousands of hours from over 27 year working with people who were in similar situations and found renewed hope and a better way. I work with you where you are and together we can make the journey to where you want to be.
I offer telehealth counseling with individuals and couples in Washington and Oregon. I offer counseling from a Christian perspective and respect the perspective you offer.
Whether you are an individual, couple, youth or need family therapy, this is a safe place for you.
I use an existential approach which assists clients with understanding the limits and benefits of being human. I mesh Existential Therapy with Cognitive Behavioral Therapy (CBT). I specialize in work with men, couples, teens age 16+, and women. I work with many diagnosis' such as bipolar, personality disorders, depression and anxiety.
Whether you are an individual, couple, youth or need family therapy, this is a safe place for you.
I use an existential approach which assists clients with understanding the limits and benefits of being human. I mesh Existential Therapy with Cognitive Behavioral Therapy (CBT). I specialize in work with men, couples, teens age 16+, and women. I work with many diagnosis' such as bipolar, personality disorders, depression and anxiety.
I enjoy working with people who want to help themselves. I realize we all face challenges and there is no such thing as perfection. Individuals who worry too much about the little things, struggle to put words to feelings, and genuinely desire to figure things out. I meet you where you are at offering a supportive, but direct interaction. Together we work toward achieving your goals as you progress into the best version of yourself.
I enjoy working with people who want to help themselves. I realize we all face challenges and there is no such thing as perfection. Individuals who worry too much about the little things, struggle to put words to feelings, and genuinely desire to figure things out. I meet you where you are at offering a supportive, but direct interaction. Together we work toward achieving your goals as you progress into the best version of yourself.
I specialize in working with teens and adults, especially LGBTQ+ teens, using affirming, evidence-based care.
Welcome! You may be feeling overwhelmed by anxiety, identity questions, school or work stress, relationship challenges, or major life changes. You might feel on edge, drained, or caught in habits that feel hard to change, especially if you’ve gone through significant stress or difficult experiences. You want a space to sort through what’s happening, build skills for handling life, strengthen confidence, and feel more steady and grounded in daily life.
I specialize in working with teens and adults, especially LGBTQ+ teens, using affirming, evidence-based care.
Welcome! You may be feeling overwhelmed by anxiety, identity questions, school or work stress, relationship challenges, or major life changes. You might feel on edge, drained, or caught in habits that feel hard to change, especially if you’ve gone through significant stress or difficult experiences. You want a space to sort through what’s happening, build skills for handling life, strengthen confidence, and feel more steady and grounded in daily life.
I specialize in working with children, adolescents, families, and adults.
I strive to balance two therapeutic styles: a relaxed, conversational approach that focuses on exploring current issues, and a structured approach that involves taking specific steps towards pre-established goals. My role is to meet you where you are and guide you towards where you want to be.
I specialize in working with children, adolescents, families, and adults.
I strive to balance two therapeutic styles: a relaxed, conversational approach that focuses on exploring current issues, and a structured approach that involves taking specific steps towards pre-established goals. My role is to meet you where you are and guide you towards where you want to be.
Clients may be in the process of moving from adolescence to adulthood, adjusting to new responsibilities, or re-evaluating long held patterns in relationships and behavior.
I will start by getting to know about you and your needs, we can then develop a specific, flexible, and doable treatment plan that reflects your individuality and goals. I like to create a friendly non judgmental environment that approaches your concern with gentle and effective curiosity where we can discover abilities you didn't know you had.
Clients may be in the process of moving from adolescence to adulthood, adjusting to new responsibilities, or re-evaluating long held patterns in relationships and behavior.
I will start by getting to know about you and your needs, we can then develop a specific, flexible, and doable treatment plan that reflects your individuality and goals. I like to create a friendly non judgmental environment that approaches your concern with gentle and effective curiosity where we can discover abilities you didn't know you had.
Online Therapists
I have been in private practice, treating teens and adults, since 2024.
Welcome. If you're feeling overwhelmed, stuck in old patterns, or unsure how to connect with others or yourself, you’re not alone. I offer a warm, collaborative space to explore what’s happening beneath the surface. My approach is relational, person-centered, and grounded in the belief that healing happens through connection. Together, we’ll work to understand your experiences, build self-trust, and move toward a life that feels more balanced, grounded, and aligned with who you are.
It's important to me to make therapy as accessible as possible, so I do offer a sliding scale fee structure for those paying out of pocket.
I have been in private practice, treating teens and adults, since 2024.
Welcome. If you're feeling overwhelmed, stuck in old patterns, or unsure how to connect with others or yourself, you’re not alone. I offer a warm, collaborative space to explore what’s happening beneath the surface. My approach is relational, person-centered, and grounded in the belief that healing happens through connection. Together, we’ll work to understand your experiences, build self-trust, and move toward a life that feels more balanced, grounded, and aligned with who you are.
It's important to me to make therapy as accessible as possible, so I do offer a sliding scale fee structure for those paying out of pocket.
We are currently accepting new clients. Seeking out a therapist can be a difficult, yet courageous first step to bettering your life. We believe everyone has a unique and powerful story to tell and we are here to listen. Together, we will be able to identify your concerns with your current situation, explore patterns that aren't working, and develop skills to make life more manageable, peaceful, and enjoyable. We will start where you are and focus where you want to focus, all at your pace.
We are currently accepting new clients. Seeking out a therapist can be a difficult, yet courageous first step to bettering your life. We believe everyone has a unique and powerful story to tell and we are here to listen. Together, we will be able to identify your concerns with your current situation, explore patterns that aren't working, and develop skills to make life more manageable, peaceful, and enjoyable. We will start where you are and focus where you want to focus, all at your pace.
You may be feeling disconnected in your relationship, misunderstood by those you love, or unsure how to express what’s really going on inside. Maybe communication feels like conflict, or you’ve lost sight of your own strengths amid stress and change. You long for understanding, healing, and a deeper sense of connection—with yourself and others—but need guidance and support to rebuild trust and rediscover hope.
You may be feeling disconnected in your relationship, misunderstood by those you love, or unsure how to express what’s really going on inside. Maybe communication feels like conflict, or you’ve lost sight of your own strengths amid stress and change. You long for understanding, healing, and a deeper sense of connection—with yourself and others—but need guidance and support to rebuild trust and rediscover hope.
In therapy, I support my clients with navigating; self-esteem/self-worth, limiting beliefs, grief, interpersonal struggles, relational disconnect, identity exploration, developmental & systemic trauma, coping strategies, communication struggles, suicidal ideation, family system dynamics, nervous system dysregulation, attachment schemas, and shame. I approach therapy as a co-explorer; working with my clients to access their internal compass, identify personal values that move them through the world, and uncover inner resources they are already equipped with that can provide healing in relationship to them-self and others.
In therapy, I support my clients with navigating; self-esteem/self-worth, limiting beliefs, grief, interpersonal struggles, relational disconnect, identity exploration, developmental & systemic trauma, coping strategies, communication struggles, suicidal ideation, family system dynamics, nervous system dysregulation, attachment schemas, and shame. I approach therapy as a co-explorer; working with my clients to access their internal compass, identify personal values that move them through the world, and uncover inner resources they are already equipped with that can provide healing in relationship to them-self and others.
I will assist you in getting free from the past whether it is a traumatic event, death or loss, or a relationship struggle. I use Cognitive Behavioral Therapy structures paired with Trauma Informed therapy approaches with emphasis on coping skills, self esteem and identifying small steps to achieve your desired goals.
I will assist you in getting free from the past whether it is a traumatic event, death or loss, or a relationship struggle. I use Cognitive Behavioral Therapy structures paired with Trauma Informed therapy approaches with emphasis on coping skills, self esteem and identifying small steps to achieve your desired goals.
People come to me usually for one of two reasons: (1) things are going well but they want to grow and evolve, (2) things are hard because of a past traumatic experience or a current situation, and healing and change is needed. Symptoms often include anxiety, depression, issues related to trauma, anger, grief and relationship issues. I work from a depth psychological perspective which means that I address the cause of symptoms as much as the symptoms themselves.
People come to me usually for one of two reasons: (1) things are going well but they want to grow and evolve, (2) things are hard because of a past traumatic experience or a current situation, and healing and change is needed. Symptoms often include anxiety, depression, issues related to trauma, anger, grief and relationship issues. I work from a depth psychological perspective which means that I address the cause of symptoms as much as the symptoms themselves.
Sometimes we just need someone who will listen. Clients that do well with me are hoping to change and are willing to try something new. The same is true for children who do well.Trust your gut. Research shows that when the client feels "good" about the counselor, that feeling is a strong indicators that a counselor will be helpful for the client. I do my best to honor the courage and vulnerability it takes to seek help.
Sometimes we just need someone who will listen. Clients that do well with me are hoping to change and are willing to try something new. The same is true for children who do well.Trust your gut. Research shows that when the client feels "good" about the counselor, that feeling is a strong indicators that a counselor will be helpful for the client. I do my best to honor the courage and vulnerability it takes to seek help.
Robyn Small
Clinical Social Work/Therapist, LICSW
2 Endorsed
Lakewood, WA 98499
Waitlist for new clients
Not accepting new clients at this time. Please check back. EMDR is a brain-rewiring psychotherapy that can help you shed negative beliefs about yourself. If you have been through trauma or abuse, you may feel you are unworthy or you may feel generally unsafe in the world. Depression, anxiety and panic may plague you. If you've talked about it in circles but nothing has changed, it may be time to try EMDR.
Clients tell me they can't believe how much better they feel after their EMDR treatments have completed. They report doing things they never thought they could do.
Not accepting new clients at this time. Please check back. EMDR is a brain-rewiring psychotherapy that can help you shed negative beliefs about yourself. If you have been through trauma or abuse, you may feel you are unworthy or you may feel generally unsafe in the world. Depression, anxiety and panic may plague you. If you've talked about it in circles but nothing has changed, it may be time to try EMDR.
Clients tell me they can't believe how much better they feel after their EMDR treatments have completed. They report doing things they never thought they could do.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Play and art therapy are incorporated when working with children and adolescents.
I’m here to walk with you through life’s challenges, whether you’re facing anxiety, depression, grief, trauma, or struggles in relationships and identity. Together, we’ll work toward healing and hope.
I have experience supporting children and families in the foster care system, as well as those at risk of separation. I've also worked as a mental health professional in hospital emergency rooms, providing hands-on crisis intervention to individuals navigating intense emotional situations. I bring this experience t every session, creating a safe, compassion
Play and art therapy are incorporated when working with children and adolescents.
I’m here to walk with you through life’s challenges, whether you’re facing anxiety, depression, grief, trauma, or struggles in relationships and identity. Together, we’ll work toward healing and hope.
I have experience supporting children and families in the foster care system, as well as those at risk of separation. I've also worked as a mental health professional in hospital emergency rooms, providing hands-on crisis intervention to individuals navigating intense emotional situations. I bring this experience t every session, creating a safe, compassion
My work is grounded in a simple belief: the stories we live by shape the lives we lead. The stories we tell ourselves. That we tell others. The stories that influence how we think, communicate, and act - often without us ever stopping to question where they came from or whether they still serve us.
My work helps people slow down long enough to recognize those stories, understand what’s shaping them, and choose how they want to move forward.
I don’t believe therapy is about fixing what’s broken. Therapy is about reauthoring your story: restoring alignment between who you are, what you value, and how you show up in your life.
My work is grounded in a simple belief: the stories we live by shape the lives we lead. The stories we tell ourselves. That we tell others. The stories that influence how we think, communicate, and act - often without us ever stopping to question where they came from or whether they still serve us.
My work helps people slow down long enough to recognize those stories, understand what’s shaping them, and choose how they want to move forward.
I don’t believe therapy is about fixing what’s broken. Therapy is about reauthoring your story: restoring alignment between who you are, what you value, and how you show up in your life.
See more therapy options for Pacific County
FAQ - Teenage and Adolescent Therapists
What does therapy for teenagers look like?
When a therapist works with a teenager, the pair will talk about what the teen is struggling with and explore solutions, which may involve interpersonal skills, coping strategies, medication, or lifestyle changes related to sleep, diet, and exercise. Different therapists employ different modalities, but most involve a combination of conversation and skill building.
How long does therapy for teenagers generally take to work?
There’s variability in teenagers’ experiences and challenges; some may begin to improve from therapy within a few weeks while others may take several months or longer. Teens can discuss their progress with their therapist periodically to assess how they’re improving and any changes to the treatment plan that could potentially accelerate that progress.
How do you encourage a teenager to go to therapy?
It’s helpful to express your concern and love while framing therapy as an opportunity to explore a tool that could help improve their life; just like they practice baseball or dance, now they can practice their emotional skills. Give your teen control over the process where you can—maybe by weighing in on choice of therapist and signaling that therapy involves confidentiality, so a parent need not know all that is discussed in sessions.
How do you prepare teens for therapy?
You can prepare your teenager for therapy by describing what the process will look like and setting expectations for timeline, if requested. You can explain that the first session may begin with an assessment phase, that they can describe their experiences but that the therapist will ask questions too, and that it may take time to feel comfortable opening up. Ask how they’re feeling about the process and answer any questions calmly and supportively.

